Chapter 1 correct answersHealth care delivery systems
A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching?
(Select all that apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers correct answersA, B, D
A nurse is explaining the various types of health care coverage clients might
have to a group of nursing students. Which of the following health care
financing mechanisms are federally funded? (Select all that apply.)
F. Preferred provider organization (PPO)
G. Medicare
H. Long-term care insurance
I. Exclusive provider organization (EPO)
J. Medicaid correct answersB, E
A nurse manager is developing strategies to care for the increasing number
of clients who have obesity. Which of the following actions should the nurse
include as a primary health care strategy?
K. Collaborating with providers to perform obesity screenings during routine
office visits
L.Ensuring the availability of specialized beds in rehabilitation centers
for clients who have obesity
M. Providing specialized intraoperative training regarding surgical
treatments for obesity
N.Educating acute care nurses on postoperative complications
related to obesity correct answersA
A nurse is discussing the purpose of regulatory agencies during a staff
meeting. Which of the following tasks should the nurse identify as the
responsibility of state licensing boards?
O. Monitoring evidence-based practice for clients who have a specific
diagnosis
P. Ensuring that health care providers comply with regulations
Q. Setting quality standards for accreditation of health care facilities
R. Determining if medications are safe for administration to clients correct
answersB
,A nurse is explaining the various levels of health care services to a group
of newly licensed nurses. Which of the following examples of care or care
settings should the nurse classify as tertiary care? (Select all that apply.)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care correct answersA, B, C
Chapter 2 correct answersInterprofessional team
A nurse is caring for a group of clients on a medical-surgical unit. For
which of the following client care needs should the nurse initiate a
referral for a social worker? (Select all that apply.)
F. A client who has terminal cancer requests hospice care in her home.
G. A client asks about community resources available for older adults.
H. A client states that she wants her child baptized before surgery.
I. A client requests an electric wheelchair for use after discharge.
J.A client states that he does not understand how to use a
nebulizer. correct answersA, B, D
A goal for a client who has difficulty with self-feeding due to rheumatoid
arthritis is to use adaptive devices. The nurse caring for the client should
initiate a referral to which of the following members of the interprofessional
care team?
K. Social worker
L. Certified nursing assistant
M. Registered dietitian
N. Occupational therapist correct answersD
A client who is postoperative following knee arthroplasty is concerned
about the adverse effects of the medication he is receiving for pain
management. Which of the following members of the interprofessional
care team can assist the client in understanding the medication's effects?
(Select all that apply.)
O. Provider
P. Certified nursing assistant
Q. Pharmacist
R. Registered nurse
S. Respiratory therapist correct answersA, C, D
A client who has had a cerebrovascular accident has persistent problems
with dysphagia (difficulty swallowing). The nurse caring for the client should
initiate a referral with which of the following members of the
interprofessional care team?
,A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist correct answersD
A nurse is acquainting a group of newly licensed nurses with the roles of
the various members of the health care team they will encounter on a
medical-surgical unit. When she gives examples of the types of tasks
certified nursing assistants (CNAs) may perform, which of the following
client activities should she include? (Select all that apply.)
E. Bathing
F. Ambulating
G. Toileting
H. Determining pain level
I. Measuring vital signs correct answersA, B, C, E
Chapter 3 correct answersEthical responsibilities
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that
this client's choice is an example of which of the following ethical principles?
J. Fidelity
K. Autonomy
L. Justice
M. Nonmaleficence correct answersB
A nurse offers pain medication to a client who is postoperative prior to
ambulation. The nurse understands that this aspect of care delivery is an
example of which of the following ethical principles?
N. Fidelity
O. Autonomy
P. Justice
Q. Beneficence correct answersD
A nurse is instructing a group of nursing students about the responsibilities
organ donation and procurement involve. When the nurse explains that all
clients waiting for a kidney transplant have to meet the same qualifications,
the students should understand that this aspect of care delivery is an
example of which of the following ethical principles?
R. Fidelity
S. Autonomy
, C. Justice
D. Nonmaleficence correct answersC
A nurse questions a medication prescription as too extreme in light of
the client's advanced age and unstable status. The nurse understands
that this action is an example of which of the following ethical
principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence correct answersD
A nurse is instructing a group of nursing students about how to know and
what to expect when ethical dilemmas arise. Which of the following
situations should the students identify as an ethical dilemma?
A. A nurse on a medical-surgical unit
demonstrates signs of chemical impairment.
B. A nurse overhears another nurse telling an older adult client that if he
doesn't stay in bed, she will have to apply restraints.
C. A family has conflicting feelings about the initiation of enteral tube
feedings for their father, who is terminally ill.
D. A client who is terminally ill hesitates to name her spouse on her
durable power of attorney form. correct answersC
Chapter 4 correct answersLegal responsibilities
A nurse observes an assistive personnel (AP) reprimanding a client for not
using the urinal properly. The AP tells him she will put a diaper on him if
he does not use the urinal more carefully next time. Which of the
following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy correct answersA
A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse
believes that this is not in the client's best interest, so she prepares to
administer a PRN sedative medication the client has not requested along
with his usual medication. Which of the following types of tort is the nurse
about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality correct answersB